Lokacin da kake tadawa ƙare
Wani muhimmin alama na rashin ciwo mai tsanani ( ME / CFS) shine barci mara kyau wanda bai taimaka gajiya ba. An kira shi rashin barci ko rashin barci. Komai yawan mutane da barci ME / CFS, ba sa farka suna jin dadi da shirye don rana.
Masu bincike suna gano karin bayani a game da barci maras kyau a cikin ME / CFS, ciki har da fasalin fasalin, tasiri, da kuma yadda za a iya magance shi.
Mene ne barci marar dadi?
Safiya marar sanyi ba abu ɗaya ba ne kamar rashin barci (wanda zai iya kasancewa a cikin mutane da wannan yanayin.) Ba game da lokacin da kuke barci ba ko kuma yaya wuya ya isa wurin.
Maimakon haka, ana amfani da lokacin barci mai ban tsoro don bayyana barci mai haske, ko da bayan cikakken dare, ba ya bar ku huta. Mutane da ke tare da ME / CFS suna bayar da rahotanni suna farfadowa sosai kuma suna jin kamar basu taba barci ba-duk tsawon lokacin da suke barci. Sakamakon barci marar dadi ba ya wuce gajiya.
Rashin barcin barci yana jin cewa cutar zata haifar da matsala tare da yadda jikinka yake sarrafa barci, wanda ake kira barci na gida barci. Yayinda mutanen da ke tare da ME / CFS na iya samun mawuyacin halin barci, yawancin nazarin na taimakawa ka'idar cewa yawancin wahalar da suke da shi na rashin barci a cikin gida amma ba daga sauran barci ba. A gaskiya ma, binciken da aka yi a shekara ta 2013 da aka buga a Magungunan Maganin Labaran Bincike ba a sami shaidar da ke nuna cewa maganin rashin barci na barci ba zai sauya gajiya daga wannan yanayin.
Impact
Yawancin alamomi na ME / CFS an lalace su, a kalla a wani ɓangare, daga barci mai ban tsoro. Sun hada da:
- gajiya mai wuya
- kwanciyar rana
- talauci marasa kyau da sauran nakasa ( ƙwaƙwalwar kwakwalwa )
- ƙara yawan hankali ga jin zafi ( hyperalgesia )
- general disability
Me yasa barci yake barci a ME / CFS?
Nassoshi da yawa sun ruwaito bambance-bambance masu tasiri game da yadda mutane suke tare da barcin ME / CFS, ciki har da:
- ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar kwakwalwa a cikin matakai da dama na barci
- muhimmanci rageccen lokacin barci
- karin lokacin kwanciya a cikin gado
- žarfin barci REM da sauran abubuwan haɗari na REM
- ƙananan saɓo maras kyau, wanda ya bada shawara na dysfunction autonomy
Cibiyar bincike mai girma ta goyi bayan ambaliyar dysfunction autonomy a cikin ME / CFS, wanda shine matsala tare da tsarin kulawa na jiki (ANS). Anan ta kasance cikin tsarin jin daɗin jin dadi da kuma juyayi, wanda ke aiki tare da juna.
Lokacin da aka yi amfani da tsarin jin tausayi mai kyau, zai sa ka cikin yanayin ƙalubalanci ko jirgin. Sabanin haka, zaɓin siginar parasympathetic ake kira yanayin yanayin hutawa.
Idan mai tausayi da sassauran zuciya ba su da daidaituwa saboda rashin cin hanci, zai iya sanya ku a cikin halin jin dadi da sanin lokacin da kuke kokarin barci. Yana da yawa kamar yadda sabon iyaye ke yi a kan faɗakarwa ga jariri mai kuka, ba da gaske shiga cikin mai kyau, mai zurfi ba.
Jiyya
Masu bincike ba suyi matukar hanyoyi ba don gano hanyoyin da za su inganta inganta barci, sabili da haka zubar da gajiya da sauran cututtuka, a cikin ME / CFS. Har zuwa yau, babu magani a FDA-an yarda da wannan cuta.
Binciken da aka yi a shekara ta 2010 ya nuna sakamakon da ya dace da maganin miyagun ƙwayoyi Xyrem (sodium oxybate) .
Duk da haka, wannan miyagun ƙwayoyi yana da sarrafawa sosai kuma yana da wuyar samun takardar sayan magani.
An yi nazarin binciken da aka yi a kan ma'adinin da ake amfani da shi na mota, da kuma nazari na 2010 a Maganin Kimiyya na yau da kullum cewa ana bukatar karin aiki don sanin ko yana da tasiri.
Wasu mutane da wannan yanayin tare da magunguna don taimakawa su barci, ciki har da antidepressants da takardar sayen magani ko kayan aikin barci mai mahimmanci. Wasu sun ce karin abubuwan sun taimaka musu barci mafi kyau. Abin takaici, muna da bincike mai zurfi wanda ke nuna ko waɗannan jiyya sun inganta barci maras kyau a ME / CFS.
ME / CFS an yi kama da fibromyalgia , wanda ya hada da barci mai ban tsoro. Ana nuna alamun FDA guda uku don fibromyalgia duka don inganta barci a wannan yanayin. Su ne Lyrica (pregabalin) , Cymbalta (duloxetine) da Savella (milnacipran) . Ya zuwa yanzu, babu ɗayan waɗannan kwayoyi sunyi nazarin ME / CFS.
Doctors sukan bayar da shawarwari irin su koyon hanyoyin shakatawa, inganta dabi'u barci da kuma samun taimako ga duk wani barci da za ku iya yi.
Idan ME / CFS ya ƙunshi ciwo, dacewa mai kula da ciwo zai iya taimakawa wajen inganta yanayin barci.
Ta hanyar aiki tare da likitanka da gwaji tare da jiyya daban-daban, zaku iya samun magunguna wanda zasu taimakawa barci mai barci don ku inganta lafiyarku, aikinku, da kuma rayuwar ku.
Sources:
> Mariman A, et al. Dokar > asibiti > Belgica. 2012 Janairu, 67 (1): 19-24. Matsayi mai kyau na barci da kwanciyar rana a cikin babban samfurin marasa lafiya da ciwo mai tsanani (CFS).
Mariman AN, et al. Sanarwar maganin barci. 2013 Jun; 17 (3): 193-9. Barci a cikin ciwo mai wuya na ciwo.
Mikirova N, Casciari J, Hunninghake R. Sauran hanyoyin kwantar da hankali a lafiya da magani. 2012 Janairu, 18 (1): 36-40. A kima na makamashi metabolism a marasa lafiya tare da na kullum gajiya ciwo ta hanyar serum fluorescence watsi.
> Sanchez-Barcelo EJ, et al. Masana kimiyya na yanzu. 2010; 17 (19): 2070-95. Amfani da cutar ta melatonin: gwajin gwaji.
Spitzer AR, Broadman M. Pain aiki: jaridar mujallar Cibiyar Pain Duniya. 2010 Janairu, 10 (1): 54-9. Jiyya na rashin barci na narcoleptform a cikin ciwo mai wuya da kuma fibromyalgia tare da sodium oxybate.